Walker P H
Nurs Adm Q. 1994 Fall;19(1):1-11. doi: 10.1097/00006216-199401910-00004.
Historically, community nursing centers (CNCs) provided care to underserved populations, and today they are reemerging to provide accessible, nurse-managed care in urban and rural settings. The quality and cost-effectiveness of care provided by advanced practice nurses in a managed-care environment is described using the Neuman Systems Model. Significant documentation from the literature underscores the value of nurse-managed care, but supports the need for interdisciplinary practice. CNC primary and preventive care in a "center without walls" is described and promoted for accessible, cost-effective and quality care in the context of health care reform.
从历史上看，社区护理中心（CNC）为服务不足的人群提供护理，如今它们再度兴起，在城市和农村地区提供可及的、由护士主导的护理。使用纽曼系统模式描述了高级执业护士在管理式护理环境中提供的护理质量和成本效益。文献中的大量记录强调了护士主导护理的价值，但也支持跨学科实践的必要性。本文描述并推广了“无墙中心”的CNC初级和预防护理，以在医疗改革背景下提供可及、具有成本效益和高质量的护理。
